Active NPI
Vidya Siddharth Phanse, PT
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1962753244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207599
- Practice address
- 5980 W 71St St Ste 102
Indianapolis, IN 46278-1785 - Phone
- (317) 388-0800
- Fax
- (317) 388-0805
- NPI assigned
- Sep 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034885-1 | NY | |
| Physical Therapist | 225100000X | 2305207599 | VA | Primary |
| Physical Therapist | 225100000X | 42814 | CA |
Addresses
Primary practice location
5980 W 71St St Ste 102
Indianapolis, IN 46278-1785
Mailing address
5980 W 71St St Ste 102
Indianapolis, IN 46278-1785
Phone (317) 388-0800
Other names 1
- Vidya Kamath
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Palm Desert, CA 92260
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42814 | CA | MD | Physical Therapist |
| 034885-1 | NY | MD | Physical Therapist |
| 2305207599 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Therapies,Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- San Diego, CA
- NPI 1972330298
-
- Environmental Modification Occupational Therapist
- Indianapolis, IN
- NPI 1780013607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1962753244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5980 W 71ST ST STE 102",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781785",
"telephone_number": "317-388-0800",
"fax_number": "317-388-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 W 71ST ST STE 102",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781785",
"telephone_number": "317-388-0800",
"fax_number": "317-388-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHANSE",
"first_name": "VIDYA",
"middle_name": "SIDDHARTH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034885-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207599",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42814",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VIDYA",
"last_name": "KAMATH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.